| Doctor Name: | DR. TAMAR A. BOURIAN |
| NPI Number: | 1013056126 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | |
| Business Practice Address: | 70 N Hudson Ave Pasadena, CA - 911011808 |
| Business Phone Number: | 6267958471 |
| Business Fax Number: | 6264494925 |
| Mailing Address: | 70 N Hudson Ave, PASADENA |
| State: | CA |
| Postal Code: | 911011808 |
| Phone Number: | 6267958471 |
| Fax Number: | 6264494925 |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 07/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |